NPIMap

Organization Active NPI

Upmc Horizon

Doing business as Upmc Horizon Physicians

  • Gastroenterology Physician
  • Hermitage, PA
National Provider Identifier
1134309552
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD054180L Issued in PA
Legal business name
UPMC HORIZON
Doing business as
Upmc Horizon Physicians
Practice address
875 N Hermitage Rd
Suite 4
Hermitage, PA 16148-3278
Phone
(724) 347-4783
Fax
(724) 646-8289
NPI assigned
Nov 14, 2007
Last updated
Nov 29, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
UPMC HORIZONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Shulik
Title
Cfo
Phone
(724) 588-0150

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD054180L PA Primary
Infectious Disease Physician 207RI0200X MD044146L PA
Pulmonary Disease Physician 207RP1001X MD427828 PA
Obstetrics & Gynecology Physician 207V00000X MD428726 PA

Addresses

Primary practice location

875 N Hermitage Rd
Suite 4
Hermitage, PA 16148-3278

Mailing address

960 S Hermitage Rd
P.O. Box 1004
Hermitage, PA 16148-3673
Phone (724) 347-0861

Other identifiers 8

IdentifierTypeStateIssuer
1015678190001MedicaidPA
1876495OtherPAHIGHMARK BC/BS
0015147500009MedicaidPA
1499299OtherPAHIGHMARK BC/BS
0011763400008MedicaidPA
1014980230002MedicaidPA
1433816OtherPAHIGHMARK BC/BS
1464693OtherPAHIGHMARK BC/BS

Other names 1

  • UPMC HORIZON PHYSICIANS Doing business as

National Provider Directory

National Provider Directory
Part of
Emergency Medicine Gree

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

26 Conneaut Lake Rd
Greenville, PA 16125
Phone (724) 588-3001

77 N Main St
Greenville, PA 16125
Phone (724) 588-6490

3410 Wilmington Rd
New Castle, PA 16105
Phone (724) 658-2801

3438 State Route 208
New Wilmngtn, PA 16142
Phone (724) 946-8378

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1134309552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 S HERMITAGE RD",
            "address_2": "P.O. BOX 1004",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483673",
            "telephone_number": "724-347-0861",
            "fax_number": "724-347-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 N HERMITAGE RD",
            "address_2": "SUITE 4",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483278",
            "telephone_number": "724-347-4783",
            "fax_number": "724-646-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC HORIZON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPMC HORIZON",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "SHULIK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "724-588-0150"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD054180L",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD044146L",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD427828",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD428726",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015678190001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "1876495",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015147500009",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "1499299",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011763400008",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014980230002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "1433816",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "1464693",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPMC HORIZON PHYSICIANS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.